Provider Demographics
NPI:1558744870
Name:ALOHA ACUPUNCTURE & WELLNESS, INC.
Entity Type:Organization
Organization Name:ALOHA ACUPUNCTURE & WELLNESS, INC.
Other - Org Name:HAWAII COMMUNITY ACUPUNCTURE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIENNE
Authorized Official - Middle Name:
Authorized Official - Last Name:KANESHIRO
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:808-854-5063
Mailing Address - Street 1:465 HINANO ST
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-4406
Mailing Address - Country:US
Mailing Address - Phone:808-854-5063
Mailing Address - Fax:
Practice Address - Street 1:465 HINANO ST
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-4406
Practice Address - Country:US
Practice Address - Phone:808-854-5063
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-06
Last Update Date:2015-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI826171100000X
HI7262225700000X
HI13758225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty